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7.9:45 A.M. PRESENTATION FROM MID AMERICAN BENEFITS ON HALL COUNTY HEALTH INSURANCE RENEWAL— MATT WULLENWABER the renewal sheet was included in the packet. Matt said he did a market review with the underwriting and reinsurance carriers. He received 21 declines but did get 3 quotes. One was not competitive and one was comparative. The insurance committee met on March 3 and April 19th and reviewed the information. The trend is better he reviewed the reserves and the longevity of the plan. The claim history has been better and the RX program on the specialty drugs has saved the plan some dollars. Some of the drugs have been zero cost to the participant or with a small co pay. Matt reviewed the spread sheet noted the features of the self-funded plan line 53 shows the enrollment. • Column AA is the current contract • Column AB is the funding level that the county uses to determine the for the county reserve balance and risk management • Lines 72 and 73 are the rates • Column AC is the renewal from Berkley • Lines 60 to 19 are the lasers that are risk management tools that have been used in the past they decreased from $1.2 million to $225,000 • Line 68 is the current and the renewal rate there is a reduction in the aggregate attachment • Line 76 is the annual contract re-insurance renewal • Line 80 is the maximum aggregating spec & lasers • There has been a reduction in the utilization • 82 to 97 this is annual expected costs He reviewed the history and instead of going up and down the try keep it level from year to year. He addressed the percentage increases the 5% increase preserves the reserves and worse case scenarios and is a fair renewal for the participants. This will also keep up with inflation and is a moderate increase. Peterson noted that the average increase over several years this is the lowest. The reduction in the lasers is a key part. Quandt ask if COVID affected the claims and Matt said that there were a couple claims but did not have a large number. COVID did offset the elective services because they were delayed. COVID was not detrimental for any of the plans they administer. 8a.DISCUSSION & POSSIBLE ACTION TO APPROVE HEALTH INSURANCE COMMITTEE RECOMMENDATIONS A) HALL COUNTY HEALTH INSURANCE RENEWAL WITH BERKLEY LIFE Bredthauer made a motion and Sorensen seconded to approve the renewal with Berkley Life and Health. They have been with Hall County for a long time. Matt noted that they like to government sector for insurance. Bredthauer, Hurst, Lancaster, Quandt, Peterson, Richardson and Sorensen all voted yes and no one voted no. Motion carried 6